The standard monthly Part B premium cost for beneficiaries in 2026 is $202.90. Wouldn’t it be nice if your clients could get some of that money back? Good news, this is a possibility!
Below is an overview of the Medicare Part B Premium Giveback. If you’re an agent selling Medicare, you’ll definitely want to make sure you know the ins and outs of this Medicare Advantage benefit.
What Is the Medicare Part B Premium Giveback?
A Part B premium giveback is the carrier’s coverage of a designated portion of an enrollee’s Part B premium. This benefit can range from 10 cents to the full Part B premium cost. The carrier notifies the Centers for Medicare & Medicaid Services (CMS) and Social Security Administration of this agreement to take on the cost of the specified amount.
The Part B giveback benefit can range from 10 cents to the full Part B premium cost.
This incentive is found within select Medicare Advantage (MA) plans. It’s important to note that the Part B giveback can be restricted to specific states and counties.
Check the service area of the MA plans featuring this incentive to make sure your plans with this benefit are available to your clients.
Are you a Medicare beneficiary looking for a plan? Connect with a licensed agent on PlanEnroll and compare plans available to you!
Who Is Eligible for the Giveback?
Beneficiaries who pay their own Part B premium are eligible for the giveback. Meaning, beneficiaries cannot receive Medicaid or any other assistance from a health program that could potentially pay their Part B premium.
Beneficiaries who pay their own Part B premium are eligible for the giveback.
Also, important to note, the giveback incentive only participates with Social Security to provide funds directly to clients. There are no direct payments made to beneficiaries by the carrier.
Clients who don’t pay their Part B premium through Social Security will pay a reduced amount directly to Medicare.
How Do Beneficiaries Receive the Funds?
The Part B Giveback is credited monthly on the beneficiaries’ Social Security check. The funds are basically a rebate, or money back for being a member of a plan with the giveback.
It can take a few months for the giveback to be processed which could result in the member receiving a lump sum amount on their Social Security check to include the approximately two to three months prior to activation. Then, the specific dollar amount of the benefit will be credited monthly through Social Security.
For example, during the Annual Enrollment Period (AEP), a beneficiary enrolls in an MA plan featuring a $50 Part B giveback. Their coverage goes into effect on January 1, however, it will take two months for the giveback benefit to become active.
The first Social Security check upon successful enrollment and active coverage will include $100 ($50 for January and February). Moving forward, the beneficiary will see the designated $50 giveback on their check each month.
Clients who don’t receive retirement benefits from Social Security will be billed for a smaller amount from Medicare. The giveback benefit will be deducted from their premium cost.
If your client changes their plan and is no longer eligible for the Part B giveback, they will no longer receive the benefit on their Social Security check. Just the same as activation of the benefit, deactivation of the Giveback can take a few months.
So, if it takes two months for the disenrollment to be acknowledged by CMS and Social Security, the member will receive a check with the overpayment for the two months subtracted.
Many carriers offer MA plans with the Part B giveback in select service areas. Carriers that offer the giveback will list it in their Summary of Benefits. Review each plan’s offering to see if it’s a possibility for your clients if they’re eligible!
A Tip About Compliance
Please note that per CMS guidelines, you are not permitted to market Medicare Advantage plans using the Part B giveback. This is outlined to be a misleading tactic that can harm beneficiaries.
Please note that per CMS guidelines, you are not permitted to market Medicare Advantage plans using the Part B giveback.
You are welcome to share the benefits of specific Medicare Advantage plans that offer the benefit in client meetings, but you are not permitted to advertise the benefit in any marketing materials.
Additionally, the Part B giveback is not available in every service area. CMS regulations do not permit agents to advertise benefits that not every beneficiary in a given area can access. Stay compliant and advocate for your clients’ best interest by finding the best plan for them!
Ritter Insurance Marketing can provide contracting for carriers that offer this benefit and also help you navigate through any questions you may have. Complete your free registration with Ritter today and let us help you offer this MA plan benefit!
Not affiliated with or endorsed by Medicare or any government agency.
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